MEDICARE: LEONIE KING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP2300X	Primary Care Nurse Practitioner

General Provider Information

NPI Number	:	1548103864
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEONIE KING LLC

Provider Business Mailing Address
First Line	:	7643 GATE PKWY STE 104
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32256-2893
Country	:	US
Telephone Number	:	757-842-0062
Fax Number	:

Provider Business Practice Location Address
First Line	:	90 FORT WADE RD
Second Line	:
City	:	PONTE VEDRA BEACH
State	:	FL
Zip	:	32081-5146
Country	:	US
Telephone Number	:	757-842-0062
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	LEONIE CICELY KING
Credential	:	NP
Telephone Number	:	757-842-0062

Provider Enumeration Date	:	04/11/2026
Last Update Date	:	04/11/2026

Similar Medicare Providers

1659029429 — LEONIE C KING NP
Practice Location Address:

90 FORT WADE RD
PONTE VEDRA BEACH, FL
32081-5146

Practice Phone: 757-842-0062
Practice Fax:

1609746494 — NEW LIFE CENTER LLC
Practice Location Address:

90 FORT WADE RD STE 100-1028
PONTE VEDRA, FL
32081-5146

Practice Phone: 910-506-4018
Practice Fax:

1962358655 — TALK IS SWEET THERAPY LLC
Practice Location Address:

90 FORT WADE RD
PONTE VEDRA, FL
32081-5146

Practice Phone: 904-834-9796
Practice Fax:

1518926062 — TASHA FOUSHEE M.D.
Practice Location Address:

228 SHOREWARD DR
MYRTLE BEACH, SC
29579-5146

Practice Phone: 919-423-9012
Practice Fax:

1548498561 — AYODEJI LADELE D.O.
Practice Location Address:

1410 LPGA BLVD STE 136
DAYTONA BEACH, FL
32117-5146

Practice Phone: 386-274-4750
Practice Fax: 386-274-2499

1841711223 — HOSPITAL BED CARE LLC
Practice Location Address:

1550 LATHAM RD STE 6
WEST PALM BEACH, FL
33409-5146

Practice Phone: 866-855-1574
Practice Fax:

Directions to “LEONIE KING LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.